Individual provider Active NPI

Brian A Green, MD

  • Pediatric Radiology Physician
  • Memphis, TN
National Provider Identifier
1033143714
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
MD0000046433 Issued in TN
Practice address
1661 International Place Drive
Suite 350
Memphis, TN 38120
Phone
(901) 685-2696
Fax
(901) 682-9747
NPI assigned
Jul 10, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X MD0000046433 TN Primary
Diagnostic Radiology Physician 2085R0202X 46433 TN
Diagnostic Radiology Physician 2085R0202X 2004005488 MO
Diagnostic Radiology Physician 2085R0202X 49303 AL

Addresses

Primary practice location

1661 International Place Drive
Suite 350
Memphis, TN 38120

Mailing address

1661 International Place Drive
Suite 350
Memphis, TN 38120
Phone (901) 685-2696

Other practice location 1

619 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4011

Other identifiers 3

IdentifierTypeStateIssuer
127217OtherMOBLUE CHOICE
751786OtherMOHEALTHLINK
201269206MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101013000031 TN Practitioner - Diagnostic Radiology 9335142892 Reassigns benefits to 2 organizations
I20140218001393 MS Practitioner - Diagnostic Radiology 9335142892 Reassigns benefits to 1 organization
I20250213001146 AL Practitioner - Diagnostic Radiology 9335142892 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Radiological PCGroup PAC ID 1557333226, 50 clinicians

Practice addresses (Care Compare)

1265 Union Ave
Memphis, TN 38104-3415
Phone (901) 516-7600

1300 Wesley Dr
Memphis, TN 38116-6426
Phone (901) 516-3700

1377 S Germantown Rd
Germantown, TN 38138-2225
Phone (901) 759-7500

1801 Union Ave
Memphis, TN 38104-3942
Phone (901) 722-3130

1938 Crescent Meadow Dr
Holly Springs, MS 38635-7419
Phone (662) 252-1599

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5200

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

6401 Poplar Ave
Suite 100
Memphis, TN 38119-4840
Phone (901) 387-2340

705 N State St
Clarksdale, MS 38614-6519
Phone (662) 627-2973

7400 Airways Blvd
Southaven, MS 38671-5863
Phone (662) 536-1000

7691 Poplar Ave
Memphis, TN 38138-3904
Phone (901) 561-6000

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 725-5100

935 Wayne Rd
Savannah, TN 38372-1904
Phone (731) 926-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
77.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46433TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
MD0000046433TNMDPediatric Radiology Physician
49303ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Mar 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2024 Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Nov 1, 2024 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Dec 24, 2024 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Dec 24, 2024 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Mar 1, 2025 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jan 19, 2014 Accepting new patients
Memphis Radiological, P.C. Diagnostic Radiology CurrentSince Jul 15, 2010 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Mar 1, 2025 Accepting new patients
Memphis Radiological, PC Past Accepting new patients
St Jude Children's Research Hospital Past Accepting new patients

Locations (25 of 34)

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

513 Brookwood Blvd
Ste 100
Homewood, AL 35209
Phone (205) 802-6805

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

7201 Happy Hollow Rd
Ste 100
Trussville, AL 35173
Phone (205) 838-5286

551 Medical Dr
Clarksdale, MS 38614
Phone (662) 624-2531

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

1938 Crescent Meadows Dr
Holly Springs, MS 38635
Phone (662) 252-1599

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

5480 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-9800

103 Halls Cv
Senatobia, MS 38668
Phone (662) 562-9003

3674 Goodman Rd E
#E
Southaven, MS 38672

7400 Airways Blvd
Southaven, MS 38671
Phone (662) 536-1000

1377 S Germantown Rd
Germantown, TN 38138
Phone (601) 516-6792

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1801 Union Ave
Memphis, TN 38104
Phone (901) 516-6792

1803 Union Ave
Ste 2
Memphis, TN 38104
Phone (901) 722-3136

225 S Claybrook St
Memphis, TN 38104
Phone (901) 516-2152

3950 New Covington Pike
Memphis, TN 38128
Phone (901) 387-2900

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Interoperability endpoints

  • Direct secure messaging: bgreen23309@mlh.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1033143714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL PLACE DRIVE",
            "address_2": "SUITE 350",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-685-2696",
            "fax_number": "901-682-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 INTERNATIONAL PLACE DRIVE",
            "address_2": "SUITE 350",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-685-2696",
            "fax_number": "901-682-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TN",
            "license": "MD0000046433",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "46433",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2004005488",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "49303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "127217",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "751786",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201269206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.